N/A
N=40
Transitioning Youth Out of Homelessness 2.0 (TYOH 2.0)
Homelessness · Youth
Bottom Line
View on ClinicalTrials.gov: NCT05781503 ↗Enrolled (actual)
40
Serious AEs
0.0%
Results posted
May 2026
Primary outcome: Primary: Feasibility and Acceptability of the Intervention Over 12 Months (Measured by Recruitment, Enrolment, and Dropout Metrics) — 20; 20; 18; 20 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Identity Capital Intervention (Coach + Co-designed Leadership Guide) (Behavioral); Monthly Rent Subsidies (Other)
- Age
- Pediatric, Adult · 16+ yrs
- Sex
- All
- Sponsor
- Unity Health Toronto
- Primary completion
- Jun 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Feasibility and Acceptability of the Intervention Over 12 Months (Measured by Recruitment, Enrolment, and Dropout Metrics) |
20; 20; 18; 20; 2; 0 | — |
| PRIMARY Feasibility and Acceptability of the Intervention Over 12 Months (Informed by Qualitative Data From Focus Groups) |
3; 8 | — |
| PRIMARY Feasibility and Acceptability of the Intervention Over 12 Months (Measured by Coaching Session Attendance Over 12 Months) |
55.2 | — |
| PRIMARY Feasibility and Acceptability of the Intervention Over 12 Months (Measured by the Intervention Engagement Questionnaire) |
4; 5; 6; 2; 1; 1 | — |
| SECONDARY Change From Baseline to 12 Months in Housing Security (Measured by the Housing Security Scale) (Continuous Outcomes) |
17.6; 18.3; 8.7; 8.4; 18.3; 16.0 | 0.34 |
| SECONDARY Change From Baseline to 12 Months in Identity Capital (Measured by the Multi-Measure Agentic Personality Scale) |
19.7; 17.7; 18.4; 18.2; 19.9; 18.7 | 0.24 |
| SECONDARY Change in Employment, Education, or Training From Baseline to 12 Months (Assessed by a Questionnaire) |
14; 13; 12; 12 | 0.50 |
| SECONDARY Change From Baseline to 12 Months in Housing Security (Measured by the Housing Security Scale) (Binary Outcomes) |
11; 11; 13; 11 | 0.27 |
Summary
Introduction: This 12-month pilot randomized controlled trial (RCT) built on previous community-engaged work and explored whether portable rent subsidies and an intervention targeting identity capital (purpose, control, self-efficacy, and self-esteem) hold promise as a way to facilitate socioeconomic inclusion for youth (age 16 - 24 years) exiting homelessness and living in market rent housing in Ontario, Canada. All (n = 40) participants received rent subsidies; half were randomly assigned an identity capital intervention (co-designed leadership guide + coach).
Methods and analysis: This study employed a convergent mixed methods, two-arm parallel RCT, open-label design with 1:1 allocation embedded within a Community Based Participatory Action Research framework and underpinned by Critical Social Theory.
Specifically, the objectives and measures were:
1. Primary - to examine whether targeted economic and identity-based supports are a feasible and acceptable way to foster socioeconomic inclusion. Measures: recruitment/enrolment/dropout metrics; self-report composite checklists regarding intervention engagement; coaching session attendance; qualitative focus groups.
2. Secondary - to assess differences between targeted economic and identity-based supports (intervention group) and economic supports only (control group) at the 12-month primary endpoint with respect to self-reported socioeconomic inclusion measures of: 1) education, employment and training (EET); 2) housing security; and 3) identity capital. Measures: self-report composite EET checklist; self-report measures of housing security and identity capital.
3. Exploratory - to explore whether the estimated effect of the intervention differed by baseline variables or level of engagement with the intervention. Measures: select variables from the baseline demographic questionnaire; GAIN-Short Screener questionnaire for those in the intervention group.
Ethics and dissemination: This study received ethical approval from the Unity Health Toronto Research Ethics Board. The investigators will continue working alongside community partners - including youth with lived expertise - to disseminate findings broadly and in diverse formats.
Eligibility Criteria
Eligible young people ages 16 - 24 years who have left homelessness within the past 12 months and are currently living or planning to live in market rent housing will be identified by the community partners. This age mandate was chosen because this is the age group served by the community partners. The investigators have chosen to target the first year of exiting homelessness because their collective experience has shown that this is a particularly precarious time for youth in terms of mental health challenges and risk of returning to homelessness.
Inclusion Criteria
- Be able to provide free and informed consent.
- Be able to understand English (intervention and data collection will be conducted in English).
- Have experienced homelessness (e.g., all non-parental and unstable housing arrangements including shelter stays, couch surfing, and time-limited housing) in the past 12 months.
- Be willing to actively participate in the intervention (co-designed leadership program + coach) if randomized to this arm.
Exclusion Criteria
- In imminent danger of losing their housing and not able to utilize the rent subsidy to sustain market rent housing.
- Currently receiving rent subsidies.
- Enrolled in a program or study with similar features to the TYOH 2.0 intervention.
Data sourced from ClinicalTrials.gov (NCT05781503). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.